Vatche Wassilian DDS Apdc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58255 Issued in CA

Legal business name

VATCHE WASSILIAN DDS APDC

Practice address

1504 Shaw Ave
Clovis, CA 93611-4028

Phone

(559) 323-7777

Fax

(559) 323-7776

NPI assigned

Apr 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vatche Sarkis Wassilian, DDS

Title

Owner

Phone

(559) 323-7777

Specialties & licenses 2

Addresses

Other names 1

• Loma Vista Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1972869337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114028",
            "telephone_number": "559-323-7777",
            "fax_number": "559-323-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114028",
            "telephone_number": "559-323-7777",
            "fax_number": "559-323-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATCHE WASSILIAN DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "WASSILIAN",
        "authorized_official_first_name": "VATCHE",
        "authorized_official_middle_name": "SARKIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-323-7777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58255",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Vista Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariana Vargas Arciga
• Amity Marie Vasconcellos
• Jennifer Lynette Vasquez, RN
• Maria Lourdes Vasquez
• Teresa Aylin Vasquez
• Lori Vaughan, M.A.,CCC-SLP
• Sara Vazquez-Cutler, LMFT
• Desiree Vazquez, D.A
• Cristina Vega, PA
• Jovanna Vega

• General Practice Dentistry in Clovis, CA
• Providers in Clovis, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.